Partial Hospitalization Sample Clauses
The Partial Hospitalization clause defines the terms and conditions under which a patient may receive intensive outpatient care as an alternative to full inpatient hospitalization. Typically, this clause outlines the eligibility criteria, the scope of services covered, and the duration or frequency of treatment sessions, such as daily therapy or medical monitoring without overnight stays. Its core function is to provide a structured framework for delivering substantial medical or psychiatric care while allowing patients to return home each day, thereby addressing the need for intensive treatment without the higher costs and restrictions of inpatient admission.
POPULAR SAMPLE Copied 1 times
Partial Hospitalization. In addition to the annual benefits set forth above, the following partial hospitalization services are covered: (i) up to an additional thirty (30) separate sessions of outpatient or partial hospitalization days for rehabilitation services for Substance Abuse rehabilitation each Benefit Period; or (ii) the exchange of these additional outpatient partial hospitalization sessions on a two-for-one basis, for up to fifteen (15) additional days of non-hospital residential inpatient rehabilitation for Substance Abuse.
Partial Hospitalization. Partial hospitalization services are covered for Substance Abuse rehabilitation. Precertification is required if partial hospitalization services are obtained from a Provider that does not participate in the Designated Behavioral Health Benefit Program,*
Partial Hospitalization. Coverage of Partial Hospitalization is subject to certification under the Mental Health Management Program of the need for treatment in a Partial Hospitalization program and the duration of such treatment. Coverage for Partial Hospitalization may be subject to a maximum day limit. See the Schedule of Benefits.
Partial Hospitalization. An intensive structured setting providing 3 or more hours of treatment or programming per day or evening, in a program that is available 5 days a week. The intensity of services is similar to Inpatient settings. Skilled nursing care and daily psychiatric care (and substance abuse care if the patient is being treated in a partial hospital substance abuse program) are available, and treatment is provided by a multidisciplinary team of Behavioral Health professionals.
Partial Hospitalization. The provision of medical, nursing, counseling or therapeutic services on a planned and regularly scheduled basis in a hospital or non-hospital facility licensed as an alcoholism or drug abuse treatment program by the Department of Health, designed for a patient or client who would benefit from more intensive services than are offered in outpatient treatment but who does not require inpatient care.
Partial Hospitalization. The provision of medically-directed intensive or intermediate short-term psychiatric treatment for a period more than four (4) hours, but less than twenty-four (24) hours in a day for an individual patient in a Hospital, psychiatric day-care treatment center, community mental health facility or any other authorized facility.
Partial Hospitalization. For cases referred by the psychiatrist who intervened in the diagnosis and primary treatment, in accordance with Law 408 of October 2, 200Q parity provisions.
Partial Hospitalization. Benefits for Partial Hospitalization Mental Health Care services include the Outpatient treatment of a Mental Illness in a planned therapeutic program during the day only or during the night only. The Partial Hospitalization program must be approved by Keystone or its designee. Partial Hospitalization Mental Health Care is not covered for halfway houses.